Registration Form

First Name:
Last Name:
Address:
Zip Code:
City/State:
Country:
Phone:
E-Mail:
Nationality:
Date of Birth:
Sex: M F
Profession:
Passport No.:

1. How would you classify your current knowledge of Spanish?
No previous knowledge    Beginner
Intermediate         Advanced

2. For how many weeks do you wish to study at the school?

3. What do you prefer?
Course in Groups     Private Course

4. How many hours per day do you wish to study?
(private course)

5. When do you wish to study
in the morning     in the afternoon

6. Do you wish to live with a Peruvian family while studying at the school?
Yes     No

    If yes, please indicate your preferences below:
    Do you prefer:
    Smoking      Non-Smoking
    Do you mind living with children under 10 years of age?
    Yes     No
    Do you prefer other students living in the house?
    Yes     No
    Are you vegetarian?
    Yes     No

    Other preferences:


7. When do you want to begin?(Date)

8. How did you hear about us?
Internet
Brochure or Flyer
Former or current student
Guidebook

Arriving students:
Please give us your arrival information so that we may arrange airport pickup (if applicable)!
Arrival Date:
Arrival Time:
Airline:
Flight Number: